Shingles on scar?

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Hi, I've had shingles for 2 weeks from my waist down to my hip. The past two days I've suddenly got pain over the scar I have from an ectopic pregnancy. It feels as if I have just had surgery. Is this 'normal' on old scar tissue and will it clear?

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  • Posted

    Hi Jacqueline 

    Nerve pain from shingles come from the nerve itself, you can get it anywhere in the are where your rash is broke out. So the fact that you are getting it on your scar area is quite normal. 

    You may find changing your position often gives relief from a certain area .. using cold compressed will often help . 

    You may find different sensations going on besides pain, sometimes burning. Or little stabbing like needles, feeling numb and freezing.  There is no set pattern with shingles. You need to not stress and get lots of rest and eat healthy!! This will eventually pass but time is so different with each individual case. Take care 

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  • Posted

    Hi, please ask your doctor to prescribe you with lidocaine patches, they will certainly ease the pain away. The scars will usually go away "eventually" with time, but please be patient. Take care and best wishes. ?

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  • Posted

    Dear Jacqueline,

    I am so sorry you are going through this. Shingles often locates on or near a surgical site ie scar or trauma site. In my case, it was head trauma a year later. Of course, I didn't realize this at the time. I know going through an ectopic pregnancy can be disheartening, and now to have this happen. I hope you have a strong support system at home.

    Your one ovary can still function well for the rest of your life. ( I lost mine to a tumor.)

    The pain of shingles often increases the second week. I would ask your physician for stronger analgesics.

    I am going to send you my information regarding Herpes Zoster-Shingles in a different post. Please feel free to ask any questions

    Best Wishes.

    Merry Juliana

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  • Posted

    Dear Jacueline

    ACUTE HERPES ZOSTER-SHINGLES

    I am so sorry you are going through this right now. I understand the agonizing, lancinating pain, sleepless nights, and suffering.

    I am a Nurse Practitioner in the States. I have had Herpes Zoster-Shingles in my right ear every three to five weeks for the past twenty-one years and twice in my right eye. It has now also spread to my scalp.

    This is a summary of the stages, signs and symptoms of Herpes Zoster-Shingles, and medical management of the disease.

    During the Pre-eruptive Phase, you may have some of the following symptoms:

    Duration 1-10 Days, but the rash occasionally takes much longer to appear

    Headache

    Photophobia

    Generalized Aches and Pains

    Fever, Chills, and Sweating

    Enlarged Lymph Nodes near the pain and rash

    Fatigue and Exhaustion

    Pain usually preceding the rash, but not always

    Itching

    Description of pain: deep burning or aching pain, or electric shock–like pains.

    Acute Eruptive Phase

    Rash of grouped vesicle-blisters in a dermatomal pattern.

    Occurs in waves or crops over a period of 5-7 days.

    Vesicle-blisters look dissimilar and are of different sizes.

    The rash is on a red base.

    The pain may continue to increase into the second and third week.

    The clear vesicle-blisters cloud over, look like pustules, scab over, and turn black. This process may take between 2-4 weeks. Once every vesicle-blister has scabbed over, you are no longer infectious!

    You are considered infectious (contagious) if your rash is open to the air, ie not covered, to anyone who has not had chickenpox. This includes all pregnant women! Remember, not all women know they are pregnant!

    Chronic Phase (Post Herpetic Neuralgia PHN)

    30 days after onset of rash. Definition varies

    Duration may last months or years after initial episode of Herpes Zoster-Shingles.

    The resolution of the scars can take up to a year to heal.

    Management and Medications

    ANTIVIRALS: THE CORNERSTONE OF TREATMENT

    Famciclovir 500 mg 3x daily 7-10 days, sometimes 14 days.

    Smallest Tablet

    Convenient dosing

    Least Resistance

    Valcyclovir 1000 mg 3x daily 7-10 days

    Large Tablets difficult to swallow for some

    Based on Acyclovir

    Acyclovir 800 mg 5x daily 7-10 days

    Inconvenient Dose Schedule

    Growing Resistance to Varicella Virus

    Acyclovir is the antiviral most often prescribed in the UK

    What dosage of the medication are you on? Sometimes, the Physician places the patient on a lower dose, but needs to increase it to help with the pain-itching.

    Sometimes, you need to be placed on a cocktail of medications, as they will work synergistically to help you. These are all by prescription. I have grouped them according to class. A clinician would start with one from the Anticonvulsant class, taper the dosage up, then one from the Antidepressant Class, etc. This list is by no means complete.

    ANALGESICS

    NSAIDS

    Ibuprofen

    Naprosyn

    Acetominophen

    OPIOIDS

    Oxycodone

    Hydrocodone

    Codeine

    CBD

    ANTI-CONVULSANTS

    Gabapentin-Neurontin

    Pregabalin-Lyrica

    ANTI-DEPRESSANTS

    SNRIs

    Cymbalta

    Effexor-Venlafaxine

    Heterocyclics

    Nortriptyline

    Amitriptyline

    2. I would find 100% cotton knit clothing. Make sure there are no seams to irritate your skin. The cotton knit is the most breathable, least irritating cloth to most individuals.

    3. Use Lidocaine Cream or Spray OTC topically to help with the pain- itching, eg, Solarcaine with Aloe or Bactine. Many on this forum feel either Lidocaine or Benzocaine help with the pain-itching. The cream might soothe the inflamed nerve endings better and last longer on the skin. You can only use Lidocaine 12 hours on and 12 hours off, as the usefulness will extinguish itself.

    4. Use ice or cool compresses. Do not take hot showers, as it will only increase the pain-itching

    5. You need to rest and sleep. You cannot power through this disease. Do not go back to work! This virus is way stronger than you are, and you will only get more pain, the more exertion you do.

    6. Most Importantly, get the Shingrex Immunization. It is a two phase vaccine, two months apart. It is given intramuscularly. It is highly efficacious in stopping Post Herpetic Neuralgia PHN and recurrent episodes of Herpes Zoster-Shingles.

    Shingrex is available in the US at the pharmacy and covered by insurance if you are over 50 years of age. If you are younger than 50, and have had a documented case of shingles, it is still covered.

    If you are in the UK/Canada/Australia/NZ, I know it has been distributed there, but the national health insurance may not cover it until age 70, which is ridiculous. It is expensive, but I would have paid thousands not to have recurrent shingles.

    Best Wishes

    Merry Juliana

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